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MR. BLAKE WILLIAM SHEPARD LMFT
NPI 1477984110
Marriage & Family Therapist in South San Francisco, CA

Active since December 05, 2013
170 S SPRUCE AVE STE 200, SOUTH SAN FRANCISCO, CA 94080(707) 478-7591 Get Directions Write a Review

NPPES record last updated: December 1, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 19, 2021, Nov 18, 2015 (2 updates tracked since 2015).

About Mr. Blake William Shepard Lmft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. BLAKE WILLIAM SHEPARD LMFT (NPI 1477984110) is an individual marriage & family therapist in South San Francisco, California, licensed in California (127480) and active in the NPI registry since December 2013.

NPPES Registry Identity

NPI1477984110
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMR. BLAKE WILLIAM SHEPARDCredential: LMFT
Location Address170 S SPRUCE AVE STE 200South San Francisco, CA 94080-4557
Mailing Address170 S Spruce Ave Ste 200South San Francisco, CA 94080-4557 · (707) 478-7591
Phone(707) 478-7591
Sole ProprietorNo
Enumeration DateDecember 5, 2013
Last NPPES UpdateDecember 1, 20232 updates tracked since enumeration
NPPES CertifiedDecember 1, 2023
✔ NPI 1477984110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 127480
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
170 S SPRUCE AVE STE 200, South San Francisco, CA 94080
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CONNIE YUAN
Social Worker
170 S SPRUCE AVE STE 200
SOUTH SAN FRANCISCO, CA 94080
San Mateo County (415) 681-3211
REBECCA CHILDS-DIAZ
Counselor (Mental Health)
170 S SPRUCE AVE STE 200
SOUTH SAN FRANCISCO, CA 94080
San Mateo County (650) 517-8220
ROFIDA MORSY
Marriage & Family Therapist
170 S SPRUCE AVE STE 200
SOUTH SAN FRANCISCO, CA 94080
San Mateo County (415) 680-0944
ROSSY GARCIA LOPEZ
Community Health Worker
170 S SPRUCE AVE STE 200
SOUTH SAN FRANCISCO, CA 94080
San Mateo County (415) 725-0771
MR. JOSE GUASQUE OCAMPO III B.A.
Case Manager/Care Coordinator
170 S SPRUCE AVE STE 200
SOUTH SAN FRANCISCO, CA 94080
San Mateo County (415) 375-7608
FOTINI TSAKIRIS
Marriage & Family Therapist
170 S SPRUCE AVE STE 200
SOUTH SAN FRANCISCO, CA 94080
San Mateo County (650) 517-8220
GABRIELA DIAZ
Community Health Worker
170 S SPRUCE AVE STE 200
SOUTH SAN FRANCISCO, CA 94080
San Mateo County (650) 517-8220
ALINA CAZAREZ
Social Worker (Clinical)
170 S SPRUCE AVE STE 200
SOUTH SAN FRANCISCO, CA 94080
San Mateo County (650) 832-6900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blake Shepard's NPI number?

The NPI number for Blake Shepard is 1477984110. It was assigned to this individual provider in the NPPES registry on December 5, 2013.

Where is Blake Shepard located?

Blake Shepard practices at 170 S Spruce Ave Ste 200, South San Francisco, CA 94080. The listed phone number is (707) 478-7591.

What is Blake Shepard's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Blake Shepard was last updated on December 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.